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General NPI Number Information
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NPI Number | 1154617678
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Entity Type | Individual
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Provider Name | CARLOS ALBERTO RUEDA RIOS M.D
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Gender | Male
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1249 15TH ST STE 4000
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City | HUNTINGTON
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State | WV
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Zip | 25701-3663
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Country | US
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Telephone | 304-691-8500
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Fax | 304-691-8510
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Provider Business Mailing Address
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Address Line | 1448 10TH AVE STE 304
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City | HUNTINGTON
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State | WV
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Zip | 25701-3579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 28382
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN16013
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 28382
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License Number State | WV
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